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使用Pipeline栓塞装置辅助治疗创伤后颈内动脉海绵窦瘘

Treatment of post-traumatic carotid-cavernous fistulas using pipeline embolization device assistance.

作者信息

Pradeep Nisha, Nottingham Robert, Kam Anthony, Gandhi Dheeraj, Razack Nasser

机构信息

Neurointerventional Associates, PA, St Petersburg, Florida, USA.

University of Maryland, Baltimore, Maryland, USA.

出版信息

BMJ Case Rep. 2015 Aug 25;2015:bcr2015011786. doi: 10.1136/bcr-2015-011786.

DOI:10.1136/bcr-2015-011786
PMID:26307645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4550904/
Abstract

This report describes two cases of post-traumatic, high flow carotid-cavernous fistulas that demonstrated residual shunting after initial embolization with coils and Onyx, and that were successfully closed with pipeline embolization devices. Following their combined endovascular treatments, the patients experienced clinical improvement of symptoms with durable obliteration of the fistulous communications.

摘要

本报告描述了两例创伤后高流量颈内动脉海绵窦瘘病例，这些病例在最初使用弹簧圈和Onyx栓塞后仍显示有残余分流，随后使用管道栓塞装置成功闭合。经过联合血管内治疗后，患者的症状得到临床改善，瘘口永久性闭塞。

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Endovascular repair of direct carotid-cavernous fistula in Ehlers-Danlos type IV.
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Multimodal endovascular therapy of traumatic and spontaneous carotid cavernous fistula using coils, n-BCA, Onyx and stent graft.
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J Neurointerv Surg. 2012 May;4(3):e1. doi: 10.1136/neurintsurg-2011-010000. Epub 2011 Jun 30.
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Transvenous embolization of a direct carotid cavernous fistula through the pterygoid plexus.
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